| NPI | 1861632408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CA PSY21311) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TA0700X Psychologist Adult Development & Aging | |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2010-08-26 |